MEDICARE: DR. GEHAD I QURAAN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center	PT017858	OH

General Provider Information

NPI Number	:	1326506593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEHAD I QURAAN DPT

Provider Business Mailing Address
First Line	:	5139 W 140TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44142-1755
Country	:	US
Telephone Number	:	216-624-3771
Fax Number	:

Provider Business Practice Location Address
First Line	:	5139 W 140TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44142-1755
Country	:	US
Telephone Number	:	216-624-3771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	03/06/2019

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